Physician
Nicklaus Children's Pediatric Specialists, LLC
Nicklaus Children's Pediatric Specialists, LLC was paid $263K by Medicaid between Feb 2019 and Jul 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 82% of everything it billed.
33Billing provider infoNICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
MIAMI, FL 33155
MIAMI, FL 33155
33aNPI1477007318assigned 08/09/2016
33bProvider typePediatric Rheumatology Physician
28Total paid$263K
24GClaims2,397
24DCodes billed6
24AFirst – last monthFeb 2019 – Jul 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MESTRE, MARCOS controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 427 | $31K | |
| 2020 | 436 | $44K | |
| 2021 | 401 | $44K | |
| 2022 | 662 | $79K | |
| 2023 | 430 | $59K | |
| 2024incomplete | 41 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 82% | 2,073 | 1,819 | $214K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.0% | 124 | 115 | $18K |
| 99205 | Prolong outpt/office vis | 4.2% | 60 | 55 | $11K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.4% | 54 | 53 | $9K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.2% | 28 | 28 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 58 | 57 | $4K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMESTRE, MARCOS (SVP)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.